-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - This "implementation gap" in VTE prophylaxis between evidence-based best practice and actual practice … while avoiding over-prophylaxis of those who are not. … Evidence-based protocols that standardize VTE risk assessment and prophylaxis. … getting the order correct): This is important in view of commonly reported deficiencies in adhering to mechanical … VTE prophylaxis (50-60 percent) and pharmacologic prophylaxis (10-20 percent of doses commonly not delivered
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
January 01, 2024 - The use of
primary prophylaxis has been shown to decrease VTE [8]. … measures linked to the level of
VTE risk, and a definition of contraindications to pharmacologic or mechanical … Percent of patients on adequate prophylaxis:
Our audits assessed the VTE risk level and adequacy of prophylaxis … The first 7 to 8 months
represent the baseline rate, 50-55%, of VTE prophylaxis. … assessment to guide choice of VTE
prophylaxis is available.
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - There are at times several acceptable options for prophylaxis, and there are often multiple choices for … Surveying existing order sets impacting VTE prophylaxis as part of the initial needs assessment, and … If nurses were to focus on patients who were not already on prophylaxis, for example, and to use the … same protocol that physicians were using, their redundant check of VTE prophylaxis could be efficient … contraindications and default choices for mechanical prophylaxis.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - The
components are as follows:
• VTE prophylaxis guidelines.
• VTE risk assessment tool. … mechanical prophylaxis—such as sequential compression devices or
graduated compression stockings—is … in various clinical settings are defined, including mechanical and pharmacologic
methods, with appropriate … by increasing provider
knowledge about VTE prophylaxis. … Risk
of and prophylaxis for venous thromboembolism in
hospital patients.
-
ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Mechanical bowel preparation with oral antibiotics.
Standardization of skin preparation. … Was Cefotetan used as antibiotic prophylaxis? If NO, skip to question 16. … Utilization of mechanical bowel preparation with oral antibiotics. … intervals for commonly used antimicrobials for surgery prophylaxis for adults and pediatrics. … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Patients must have required mechanical ventilation for more than 48 hours. … Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … PRO: Multivariate analysis – Study focused on 227 patients requiring mechanical ventilation for more … Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: The effect of … supportive evidence were semirecumbent positioning, sucralfate instead of H2-antagonists for stress ulcer prophylaxis
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - mechanically ventilated patients and included
interventions such as stress ulcer and deep vein thrombosis prophylaxis … • Post changes in the duration of mechanical ventilation, length of stay, and mortality. … There are situations where prophylaxis is warranted,
but these are exceptions where there is the possibility … of a contaminated wound
(trauma, surgery, etc.) or prophylaxis due to another comorbidity such as an … Comparative
study of single-dose and 24-hour multiple-dose
antibiotic prophylaxis for cardiac surgery
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Patients must have required mechanical ventilation for more than 48 hours. … Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … Crossover Trial
(Torres, 1992) 11
PRO: Crossover trial focused on patients requiring mechanical … Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: The effect of … supportive evidence were semirecumbent positioning, sucralfate instead of H2-antagonists for stress ulcer prophylaxis
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Relying on order sets alone will not reach desired levels of appropriate VTE prophylaxis. … They can be particularly valuable when assessing adherence to mechanical prophylaxis and developing educational … materials around the subset of patients who may require extended duration prophylaxis. … Key metrics include the prevalence of appropriate VTE prophylaxis and the incidence of HA-VTE. … Even the best order set, however, will fail to achieve near-perfect appropriate prophylaxis.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - defects
Emerging evidence
Antibiotics redosing and weight-based dosing
Maintenance of normoglycemia
Mechanical … including antibiotic redosing and weight-based dosing, maintenance of normoglycemia, the use of selected mechanical … Also, the guidelines advocate the use of mechanical bowel preparation with oral antibiotics for colon … Cefoxitin is a SCIP-approved antibiotic for colon prophylaxis. … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - Guidelines support the use of subglottic suctioning and drainage for patients dependent on mechanical … Retrospective Chart Review
(Juneja, 2011)9
PRO: Data for 311 patients requiring mechanical ventilation … RCT
(Mahul, 1992)19
PRO: RCT focused on patients requiring mechanical ventilation for more than 3 … Study evaluated 896 patients who required mechanical ventilation from five RCTs. … drainage and stress ulcer prophylaxis.
-
ce.effectivehealthcare.ahrq.gov/pqmp/measures/scd-antibiotic-prophylaxis.html
August 01, 2021 - Pediatric Quality Measures Program
PQMP Measures
Appropriate antibiotic prophylaxis … Implementation & Quality Improvement
PQMP Grantees
Appropriate antibiotic prophylaxis … Sub-Domain: Sickle Cell Treatment PQMP COE: Q-METRIC Associated NQF # and Name: 3166, Antibiotic Prophylaxis … 2021
Page originally created August 2021
Internet Citation: Appropriate antibiotic prophylaxis
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
265
Implementation … of an Evidence-based
Protocol for Surgical Infection Prophylaxis
John A. … Risucci
Abstract
Objective: An evidence-based surgical antimicrobial prophylaxis (AMP) protocol
was … Antibiotics for dirty operations represent treatment and not
prophylaxis. … ASHP
therapeutic guidelines on antimicrobial prophylaxis in
surgery.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - 30 Days
4
3
0
Duration of Surgery (min)
6
5
0
Tourniquet Time
2
2
0
Post-Op Mechanical … Peri-Op Insulin Administration
2
2
0
Peri-Op Proton Pump Inhibitor
1
1
0
Peri-Op VTE Prophylaxis … 2
0
Periop allogeneic blood transfusion
3
3
0
Interop vasopressor
3
3
0
preop mechanical
-
ce.effectivehealthcare.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
August 01, 2021 - Pediatric Quality Measures Program
PQMP Measures
Timeliness of antibiotic prophylaxis … Implementation & Quality Improvement
PQMP Grantees
Timeliness of antibiotic prophylaxis … 2021
Page originally created August 2021
Internet Citation: Timeliness of antibiotic prophylaxis
-
ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
October 01, 2014 - As a result, prevalence of appropriate VTE prophylaxis increased from 55 to 100 percent for surgical … prophylaxis and 100 percent for patients admitted to the hospitalist service between March and August … As a result of these interventions, appropriate VTE prophylaxis increased from 0 to 100 percent, and … The dashboard appears in green if the patient is on pharmacological prophylaxis, in yellow if the patient … is on sequential compression devices or if a contraindication is documented, and in red if VTE prophylaxis
-
ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - Was cefotetan used as antibiotic prophylaxis? … Clinical practice guidelines for antimicrobial prophylaxis in surgery. … Was clindamycin or cefotetan used as antibiotic prophylaxis? … Clinical practice guidelines for antimicrobial prophylaxis in surgery. … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
March 01, 2016 - While VTE sometimes occurs despite the best available prophylaxis, there are many lost opportunities … to optimize prophylaxis and reduce VTE risk factors in virtually every hospital. … and discomfort associated with prophylactic methods; for some inpatients, the risk of anticoagulant prophylaxis … Teams may wish to assess the adequacy of VTE prophylaxis not only on admission or transfer to the ICU … rates, and other parameters (e.g., adherence to prescribed prophylaxis).
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - including antibiotic redosing and weight-based dosing, maintenance of normoglycemia, the use of selected mechanical … Also, the guidelines advocate the use of mechanical bowel preparation with oral antibiotics for colon … Slide 23
Antimicrobial Prophylaxis in Surgery
SAY:
This is the table, and it indicates whether weight-based … For example, previous guidelines recommended redosing cefotetan as routine prophylaxis for colon surgery … Cefoxitin is a SCIP-approved antibiotic for colon prophylaxis.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease
Timeliness of Antibiotic … Prophylaxis for Children
with Sickle Cell Disease
Section 1. … Measure Name
Timeliness of Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. … There are no existing quality measures for antibiotic prophylaxis in children with SCD.
1.D. … Compliance with penicillin prophylaxis in patients with sickle
cell disease.